Individual provider Active NPI

Lauren Gail Breihan, M.D.

  • Internal Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1497866495
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23601 Issued in AZ
Practice address
3480 E. Route 66
Flagstaff, AZ 86004
Phone
(928) 863-7333
Fax
(928) 863-7347
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23601 AZ Primary

Addresses

Primary practice location

3480 E. Route 66
Flagstaff, AZ 86004

Mailing address

3480 E Route 66
Flagstaff, AZ 86004-4032
Phone (928) 863-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000222 TX Practitioner - Internal Medicine 4688709249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuba City Regional Health Care CorporationGroup PAC ID 4284542531, 160 clinicians

Practice addresses (Care Compare)

167 Main St
Tcrhcc Mobile Medical Clinic
Tuba City, AZ 86045-0600
Phone (928) 283-2501

Hospital & facility affiliations

  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23601AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 16, 2010 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine Current Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Feb 16, 2010 Accepting new patients

Locations

3480 E Route 66
Flagstaff, AZ 86004
Phone (928) 438-9985

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497866495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 E ROUTE 66",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044032",
            "telephone_number": "928-863-7333",
            "fax_number": "928-863-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 E. ROUTE 66",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-863-7333",
            "fax_number": "928-863-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIHAN",
        "first_name": "LAUREN",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.